Effects of Tissue Flossing Technique for Bicipital Tendinitis

NCT05033717 | Completed

• 1 other identifier: REC//0413 Aroofa
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

This project will be a Randomized control trial conducted to check the effects of tissue flossing technique versus static stretching exercises of bicep muscle on pain, range of motion and function in patients with bicipital tendinitis, so that we can have best treatment option for them. Duration will be of 6 months. Purposive sampling will be done. Subjects fulfilling eligibility criteria from Allied hospital Faisalabad, will be randomly allocated in two groups via lottery method. Baseline assessment will be done. Group A participants will be given baseline treatment along with tissue flossing. Group B participants will be given stretching exercises along with baseline treatment for two weeks, 3 sessions per week. Post intervention assessment will be done via, Numeric pain rating scale(NPRS),Shoulder Pain And Disability Index (SPADI) and goniometric measurements of shoulder ranges. Data will be analyzed by using SPSS version 20.

Conditions

Bicipital Tendinitis

Keywords

Flossing; Flexibility; ROM; Prevention

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale

  The 11-point numerical pain rating scale (NPRS) is a measure of pain in which patients rate their pain ranging from 0 (no pain) to 10 (worst imaginable pain), and it has been shown to have concurrent and predictive validity as a measure of pain intensity.

  2nd Week

• Shoulder pain and disability index

  A shoulder pain and disability index (SPADI) is used to measure the pain and disability associated with shoulder pathology. The SPADI is a self-administered index consisting of 13 items divided into two subscales: pain and disability. The SPADI is responsive to change and accurately discriminates among patients who are improved or worsened.

  2nd Week

• Goniometer

  A goniometer is an instrument that measures the available range of motion at a joint. The term Goniometry is derived from two Greek words, gonia, meaning "angle" and metron, meaning "measurement

  2nd Week

Study Arms (2)

Group A

EXPERIMENTAL

Tissue Flossing Technique

Other: Tissue Flossing Technique

Group B

ACTIVE COMPARATOR

Static Stretching exercises

Other: Static Stretching Technique

Interventions

Tissue Flossing Technique OTHER

Subjects will receive tissue-flossing intervention on bicep muscle for 30 sec to 2 min with an occlusion pressure of 100 mmHg. After removal of flossing, participants will perform bicep strengthening exercises at an intensity of 30% of 1 RM with 6-8 rep, 4 sets for a single day and 3 days per week for 2 weeks in total.

Group A

Static Stretching Technique OTHER

Subjects will perform passive static stretching exercises of bicep muscle. Each stretch will last for 30 sec at 100% of stretch intensity with 4 reps for each, 1 set per day and 3 days per week for total duration of two weeks. After the application of static stretch, participants will perform bicep strengthening exercises at an intensity of 30% of 1 RM with 6-8 reps, 4 sets for a single day and 3 days per week for 2 weeks in total.

Group B

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Bicep tendinitis with age 18 to 45 years
• Subjects with a history of repetitive overhead activities and pain in bicipital groove.
• Recent history of adhesive capsulitis.
• Chronic bicep weakness with history of recreational activities.
• Recreational athletes with history of pain and difficulty in overhead movements

You may not qualify if:

• Tumors of joint or bone.
• latex allergy
• Hypertension (i.e., resting systolic blood pressure \> 160 mmHg or diastolic blood pressure \> 100 mmHg)
• Venous thrombotic disease
• Heart disease
• Respiratory disease;
• Dermatitis
• Psychiatric condition e.g depression,
• Recent history of shoulder fracture or humerus fracture.
• Rheumatoid arthritis.
• Osteoarthritis.
• Hyper-laxity of shoulder joint.
• Instability of shoulder
• Neuromuscular disorder
• Inflammatory disorder

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Allied hospital Faisalabad, Pakistan

Faisalābad, Punjab Province, Pakistan

Location

Related Publications (8)

• 1. Care IP, Renee Yacoub C. REHABILITATION FOLLOWING BICEPS BRACHII AND SUPRASPINATUS TENDINOPATHIES IN A 5-YEAR-OLD HAVANESE. 2019.

  BACKGROUND

• Driller MW, Overmayer RG. The effects of tissue flossing on ankle range of motion and jump performance. Phys Ther Sport. 2017 May;25:20-24. doi: 10.1016/j.ptsp.2016.12.004. Epub 2016 Dec 12.

  PMID: 28254581 BACKGROUND

• Cheatham SW, Baker R. Quantification of the Rockfloss(R) Floss Band Stretch Force at Different Elongation Lengths. J Sport Rehabil. 2020 Mar 1;29(3):377-380. doi: 10.1123/jsr.2019-0034.

  PMID: 31094647 BACKGROUND

• 6. Kiefer BN, Lemarr KE, Enriquez CC, Tivener KA, Daniel T. A pilot study: perceptual effects of the voodoo floss band on glenohumeral flexibility. International Journal of Athletic Therapy and Training. 2017;22(4):29-33.

  BACKGROUND

• Borda J, Selhorst M. The use of compression tack and flossing along with lacrosse ball massage to treat chronic Achilles tendinopathy in an adolescent athlete: a case report. J Man Manip Ther. 2017 Feb;25(1):57-61. doi: 10.1080/10669817.2016.1159403. Epub 2016 May 30.

  PMID: 28855793 BACKGROUND

• Ekeberg OM, Bautz-Holter E, Keller A, Tveita EK, Juel NG, Brox JI. A questionnaire found disease-specific WORC index is not more responsive than SPADI and OSS in rotator cuff disease. J Clin Epidemiol. 2010 May;63(5):575-84. doi: 10.1016/j.jclinepi.2009.07.012.

  PMID: 19836206 BACKGROUND

• Abbott JH, Schmitt J. Minimum important differences for the patient-specific functional scale, 4 region-specific outcome measures, and the numeric pain rating scale. J Orthop Sports Phys Ther. 2014 Aug;44(8):560-4. doi: 10.2519/jospt.2014.5248. Epub 2014 May 14.

  PMID: 24828475 BACKGROUND

• 5. Parish E. Joint and Muscle Flossing.

  BACKGROUND

Study Officials

• Syed Shakil Ur Rehman

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 27, 2021
• First Posted: September 5, 2021
• Study Start: August 30, 2021
• Primary Completion: December 15, 2021
• Study Completion: December 30, 2021
• Last Updated: January 4, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)